手术修复严重肾损伤27例  

Surgical Treatment for 27 Patients with Severe Renal Trauma

作　　者：徐华南 郑伟成 苑勇 李汉俊 褚光 汪少华 

机构地区：[1]安徽省蒙城第一人民医院泌尿外科 [2]蒙城中医院外科

出　　处：《中华创伤杂志》1998年第4期239-241,共3页Chinese Journal of Trauma

摘　　要：目的报告２７例严重肾损伤的手术治疗体会，旨在降低伤肾切除率。方法术中采用静脉注射肌苷后，常温下阻断肾血流，根据肾破裂情况，分别采用肾部分切除、分层对位缝合、血管修补等修复手术。伤肾热缺血最长１０２分钟，最短２８分钟，平均５３分钟。结果２５例修复成功，２例肾切除，手术失肾率为７．４％；２５例在术后１４天～９个月行ＩＶＵ检查，伤（残）肾功能及形态良好；２１例随访４个月～１１年，血压、尿常规均正常。Aim To report the experience of operative treatment for severe renal trauma on 27 cases. Methods During the operation, the renal blood supply was blocked for 10 minutes after intravenous of 2g inosine in normothermia. According to the condition of renal trauma, partial nephrectomy, nephrorrhaphy, nephroangistomy were made. The longest time of warm ischemia of kidney was 102 minutes, the shortest time of that was 28 minutes, with the average of 53 minutes. Results The kidneys of 25 cases were repaired successfully, and two cases were done with nephrectomy (7.4%). 14 days to 9 months after operation, intravenous urography (IVU) showed the renal functions were normal on 25 cases with the kidneys repaired. 21 cases followed up for 4 months to 11 years, the blood pressure, the urine showed normal in all patients. Conclusion The incidence of nephrectomy in the cases with severe renal trauma can be reduced obviously with renal repairment.

关 键 词：肾损伤 外科手术 

分 类 号：R699.2[医药卫生—泌尿科学]